Tehran University of Medical SciencesThe Journal of Tehran University Heart Center1735-862020171220170515Coronary Slow Flow Phenomenon and Atrioventricular Block: A Case Report8587ENMohammadMasoumiKhadijeMohammadiShafa Hospital, Kerman University of Medical Sciences, Kerman, Iran.. khma_65@yahoo.com2017031820170318The coronary slow flow phenomenon (CSFP) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. Although the relation between the CSFP and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the CSFP and the conduction system disorder. In this case report, we describe a patient with the CSFP presenting with complete heart block (CHB). The patient was a middle-aged woman with a history of diabetes, hypertension, and prior Coronary Care Unit admission presenting with dizziness, lightheadedness, and presyncope. Electrocardiography revealed CHB with no significant ST-T change. Cardiac enzymes and other routine lab tests were normal. The patient underwent temporary pacemaker implantation. Due to persistent atrioventricular block and suspicion of ischemic heart disease, she underwent coronary angiography, which showed the CSFP and no significant stenosis. The patient was discharged after permanent pacemaker implantation and remained asymptomatic at 3 months' follow-up.http://jthc.tums.ac.ir/index.php/jthc/article/view/697http://jthc.tums.ac.ir/index.php/jthc/article/download/697/570